National Gallery of Canada - Musée des beaux-arts du Canada
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Reproductions Online Form
1. Requester Information
Name  *
Company or Institution 
Street Address 
City 
Province/State 
Country 
Postal/Zip Code 
Phone  *   ext. 
Fax 
E-mail address 


2. Reproductions Requested
 
Artist name and title of work *
Accession number 
*Check all that apply
*Subject to availability
 
colour transparency rental
  3 months   6 months
9 months   12 months
8 x 10" black & white photograph
8 x 10" colour print (not for reproduction)
35 mm colour slide
digital (low resolution for electronic use only)
digital (high resolution for print reproduction, on CD with colour refernece print)
Additional request #2
Artist name and title of work
Accession number 
 
Image format 
(check all that apply)
colour transparency rental
  3 months   6 months
9 months   12 months
8 x 10" black & white photograph
8 x 10" colour print (not for reproduction)
35 mm colour slide
digital (for electronic use only, not print)
Additional request #3
Artist name and title of work
Accession number 
 
Image format 
(check all that apply)
colour transparency rental
  3 months   6 months
9 months   12 months
8 x 10" black & white photograph
8 x 10" colour print (not for reproduction)
35 mm colour slide
digital (for electronic use only, not print)
 
Is this reproduction request in conjunction with a loan from the National Gallery of Canada?
no
loan pending
loan approved
3. Use Requested
Research only (no reproduction) [if you choose this option you will be forwarded to section 7]
 Book
 
inside page first edition
cover  subsequent editions 
Retail price  $  
Print run
  Number of copies
 
 Exhibition catalogue
inside page
cover 
Retail price  $  
Print run  Print run
 
 Brochure, pamphlet
Retail price  $  
Print run
  Number of copies
 
 Poster
Retail price  $  
Print run
  Number of copies
 
 CD-ROM
Retail price  $  
Print run
  Number of copies
 
Web site (subscription)
Length of License Requested
Years
Web site (public)
Home page
Inside page
Length of license requested
Years
 Film or video
For individual sale   Number of copies
Retail price   $  
For broadcast
  Length of license requested
Years
 Merchandise (please describe)
Retail price   $  
Print run
   Number of copies
 Newspaper, magazine
Print run   Number of copies
   
Journal
 
Print run
  Number of Copies
   
Broadcast
  Length of license requested  
Years  
 Other
Print run    
  Number of copies

 


4. Distribution Requested
Single territory rights (please specify)
 
World rights


5. Language(s) Requested
 
English
French
Other (please specify)
 
6. Author or Producer
 
Author or producer 
Publisher 
Title 
Anticipated date of Publication or posting 


7. Prepayment Options
 
Credit card 
Cheque 
Money order  
Bank transfer 


8. Delivery Options
 
Mail 
Courier 
Charge to account number 
Charge my credit card 


Fields marked with * are mandatory.

The Copyright Division will reply within 3–5 business days to confirm availability of images, total fees, and expected date of order completion.

Please note that the regular turnaround time is 3 weeks for existing photography and 6 weeks for new photography. For faster service, rush fees may apply.